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Hematogenous long bone osteomyelitis by prevotella (bacteroides) melaninogenicus
Panagiotis K Karabinas1, Evangelopoulos Dimitrios Stergios, Marina G Athanasopoulou
11st Orthopedic Department, University of Athens, Greece.
Journal of Clinical Medicine Research
|November 2, 2011
Summary
This case report details an acute Prevotella hematogenous bone infection in an adult humerus. Treatment involved two-stage surgery, highlighting radical debridement and appropriate antibiotics for this rare Gram-negative infection.
Area of Science:
- Infectious Diseases
- Surgical Oncology
- Orthopedic Surgery
Background:
- Osteomyelitis is a serious bone infection.
- Gram-negative bacterial infections can lead to severe complications.
- Hematogenous spread is a common route for bone infections.
Observation:
- A previously healthy adult presented with an acute humerus infection.
- The causative agent was identified as Prevotella, an anaerobic Gram-negative bacterium.
- The infection was characterized as a hematogenous spread to the bone.
Findings:
- The case involved an acute Prevotella hematogenous osteomyelitis of the humerus.
- A two-stage surgical treatment approach was successfully employed.
- Radical surgical debridement and judicious selection of antimicrobial agents were crucial.
Implications:
- This case highlights the challenges in recognizing and treating anaerobic bone infections.
- The successful management underscores the importance of aggressive surgical intervention.
- This report may inform future treatment strategies for similar rare hematogenous infections.
